PTS Satisfaction Survey Question Title * 1. Respondent's Name (will remain confidential) Question Title * 2. How likely is it that you would recommend Pietruck Therapy Services PLLC to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 3. What brought you into therapy? ADHD/ADD Anxiety Depression Gender Identity/Sexual Identity Grief & Loss Life Transition/Adjustment OCD Parenting Personal Empowerment/Development School/Work Stressors Substance Use Trauma Women's Health Other (please specify) Question Title * 4. How would you rate your overall experience in therapy? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Other (please specify) Question Title * 5. How well did the provider address the goals that brought you into therapy? Extremely well Very well Somewhat well Not so well Not at all Question Title * 6. Is there anything else we could have done to improve your experience in therapy and/or with PTS staff in general? Question Title * 7. Please share a brief narrative about your overall therapy experience. Question Title * 8. What was the best part of your experience with your provider? Question Title * 9. Do you give permission to Pietruck Therapy Services PLLC to use feedback on this anonymous form for promotional purposes? Done
